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Re: Clinical scenario From: Elrod, Darryl G Maj 48 MDOS/SGOBO (Darryl.elrod@LAKENHEATH.AF.MIL) Thu Oct 12 02:41:17 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Elrod, Darryl G Maj 48 MDOS/SGOBO: "Re: Intravenously Administered Magnesium Sulfate To Prevent Labor" Previous message: Elrod, Darryl G Maj 48 MDOS/SGOBO: "Re: Clinical scenario" In reply to: Stmidwife@aol.com: "Re: Clinical scenario" Next in thread: Andrew Folley: "Re: Elective inductions" Reply: Andrew Folley: "Re: Elective inductions" Reply: Jamie: "Re: Clinical scenario" The textbooks still list less than 37 weeks as preterm, so technically she would be preterm. I recently heard Nicoliades (?sp) speak in London and he stated that in this day and age, with the NICUs we have and the outcomes we get, we should really stop calling preterm less than 37 weeks and move it to less than 32 weeks. I don't necessarily agree with that for our facility, but for those in big cities I think he probably is right. I think preterm labor would be a fine diagnosis for this admission. (Damn, I have to start thinking about diagnosis for admission since my days in the service are quickly coming to an end!) Glen //SIGNED// D. Glen Elrod, Maj., USAF, MC Obstetrician/Gynecologist Chief of Obstetrics 48 MDOS/SGOBO RAF Lakenheath, England Telephone DSN: 314-226-8130 Comm: +44 (0) 1638 52 8130 Notice of Confidentiality Under the Privacy Act of 1974, you must safeguard all information reflected on this e-mail and, if applicable, all attachments. Disclosure of information is IAW AFI 33-119, AFI 33-127, AFI 37-131, AFI 37-132, AFI 33-219, and PL 93-579" This e-mail message including any attachments is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. Any questions pertaining to disclosure should be directed to the privacy officer. ________________________________ From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of -- ________________________________ Stmidwife@aol.com Sent: Sunday, October 08, 2006 8:59 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Clinical scenario Have seen this several occasions with my own clients, and once during while doing my clinical to get my license with a very intelligent OB who thank goodness taught me that if someone is not in labor, they need to go home if everything is normal. The clients I have had. for example, one was 8cm and remained that way for 8 days then had a five hour labor and similarly with the others. Why was the midwife checking her at this time anyhow and what possible dx could you claim for insurance purposes for keeping her in the hospital all this time? This woman would not be considered preterm here in So CA area in my experience. Sue Colossians 3:12: And so, as those who have been chosen of God, holy and beloved, put on a heart of compassion, kindness, humility, gentleness and patience... Next message: Elrod, Darryl G Maj 48 MDOS/SGOBO: "Re: Intravenously Administered Magnesium Sulfate To Prevent Labor" Previous message: Elrod, Darryl G Maj 48 MDOS/SGOBO: "Re: Clinical scenario" In reply to: Stmidwife@aol.com: "Re: Clinical scenario" Next in thread: Andrew Folley: "Re: Elective inductions" Reply: Andrew Folley: "Re: Elective inductions" Reply: Jamie: "Re: Clinical scenario"

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